Olufisayo O Elugbadebo, Akinsola A Ojagbemi, Oye Gureje
{"title":"通过手机干预减少尼日利亚老年人心理健康门诊治疗的辍学率。","authors":"Olufisayo O Elugbadebo, Akinsola A Ojagbemi, Oye Gureje","doi":"10.4314/ahs.v23i4.58","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Half of older Africans drop out of treatment after a single contact with biomedical mental health services.</p><p><strong>Objective: </strong>This study examined the effect of introducing a mobile phone reminder intervention delivered by volunteering health staff to reduce dropout from an outpatient mental health service for older people in Nigeria.</p><p><strong>Methods: </strong>405 patients were studied using a quasi-experimental design: 169 who attended clinic pre-intervention (2016-2017) and 236 who attended during intervention (2018-2019). We estimated annual dropout rates, reasons for dropout and predictors of drop-out.</p><p><strong>Results: </strong>We found a trend for decreasing dropout rates during intervention (p<0.001). The most common reasons for dropout were distance to the clinic (19.5%) and unavailability of a caregiver (47.6%). Current single status (O.R =2.02, 95% C. I=1.02-3.99) and treatment without adjunctive pharmacotherapy (O. R=2.14, 95% CI; 1.07-4.26) predicted dropout.</p><p><strong>Conclusion: </strong>Mobile phone call reminders improved treatment engagement in this population. Findings are important for policy to improve access to mental healthcare in Africa.</p>","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":"23 4","pages":"551-562"},"PeriodicalIF":0.0000,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11225454/pdf/","citationCount":"0","resultStr":"{\"title\":\"Mobile phone intervention to reduce dropout from treatment at an outpatient mental health service for older people in Nigeria.\",\"authors\":\"Olufisayo O Elugbadebo, Akinsola A Ojagbemi, Oye Gureje\",\"doi\":\"10.4314/ahs.v23i4.58\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Half of older Africans drop out of treatment after a single contact with biomedical mental health services.</p><p><strong>Objective: </strong>This study examined the effect of introducing a mobile phone reminder intervention delivered by volunteering health staff to reduce dropout from an outpatient mental health service for older people in Nigeria.</p><p><strong>Methods: </strong>405 patients were studied using a quasi-experimental design: 169 who attended clinic pre-intervention (2016-2017) and 236 who attended during intervention (2018-2019). We estimated annual dropout rates, reasons for dropout and predictors of drop-out.</p><p><strong>Results: </strong>We found a trend for decreasing dropout rates during intervention (p<0.001). The most common reasons for dropout were distance to the clinic (19.5%) and unavailability of a caregiver (47.6%). Current single status (O.R =2.02, 95% C. I=1.02-3.99) and treatment without adjunctive pharmacotherapy (O. R=2.14, 95% CI; 1.07-4.26) predicted dropout.</p><p><strong>Conclusion: </strong>Mobile phone call reminders improved treatment engagement in this population. Findings are important for policy to improve access to mental healthcare in Africa.</p>\",\"PeriodicalId\":94295,\"journal\":{\"name\":\"African health sciences\",\"volume\":\"23 4\",\"pages\":\"551-562\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11225454/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"African health sciences\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4314/ahs.v23i4.58\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"African health sciences","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4314/ahs.v23i4.58","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Mobile phone intervention to reduce dropout from treatment at an outpatient mental health service for older people in Nigeria.
Background: Half of older Africans drop out of treatment after a single contact with biomedical mental health services.
Objective: This study examined the effect of introducing a mobile phone reminder intervention delivered by volunteering health staff to reduce dropout from an outpatient mental health service for older people in Nigeria.
Methods: 405 patients were studied using a quasi-experimental design: 169 who attended clinic pre-intervention (2016-2017) and 236 who attended during intervention (2018-2019). We estimated annual dropout rates, reasons for dropout and predictors of drop-out.
Results: We found a trend for decreasing dropout rates during intervention (p<0.001). The most common reasons for dropout were distance to the clinic (19.5%) and unavailability of a caregiver (47.6%). Current single status (O.R =2.02, 95% C. I=1.02-3.99) and treatment without adjunctive pharmacotherapy (O. R=2.14, 95% CI; 1.07-4.26) predicted dropout.
Conclusion: Mobile phone call reminders improved treatment engagement in this population. Findings are important for policy to improve access to mental healthcare in Africa.